Article Text

Download PDFPDF
Right liver lobe diameter:albumin ratio: a new non-invasive parameter for prediction of oesophageal varices in patients with liver cirrhosis (preliminary report)
  1. Tamara Alempijevic1,
  2. Nada Kovacevic1
  1. 1Clinic for Gastroenterology and Hepatology, Clinical Center of Serbia, Belgrade, Serbia; altam@eunet.yu

Statistics from

Portal hypertension commonly accompanies liver cirrhosis, and development of oesophageal varices is among the major complications of portal hypertension. Patients with cirrhosis should be screened for the presence of oesophageal varices when portal hypertension is diagnosed. To reduce the increasing burden of endoscopy units, some studies have attempted to identify parameters for non-invasive prediction of the presence of oesophageal varices.

We read with great interest the article by Giannini et al (Gut 2003;52:1200–5). Besides the confirmation of proposed platelet count:spleen diameter ratio in predicting the presence of oesophageal varices in patients with liver cirrhosis, we introduced a new measurement for predicting oesophageal varices. Our preliminary study included 58 patients with cirrhosis who underwent a complete biochemical investigation, upper digestive endoscopy and ultrasonographic examination. Right liver lobe diameter:albumin ratio has been calculated and correlated with the presence and grade of oesophageal varices. All patients gave their written consent, …

View Full Text


  • Competing interests: None.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles